Active NPI
Emily Brown, RD/N, LD/N
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1730602889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1072530
- Practice address
- 3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307 - Phone
- (813) 870-4951
- Fax
- (727) 333-6024
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND7782 | FL | |
| Registered Dietitian | 133V00000X | 1072530 | Primary |
Addresses
Primary practice location
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Mailing address
2905 W Palmira Ave
Tampa, FL 33629-7250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND7782 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
807 N Myrtle Ave
Clearwater, FL 33755
Phone (727) 467-2400
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Dietitian, Registered
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500508800000",
"number": "1730602889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 W PALMIRA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076307",
"telephone_number": "813-870-4951",
"fax_number": "727-333-6024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "EMILY",
"credential": "RD/N, LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2017-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7782",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1072530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.